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Hubungan Pemanfaatan Telemedicine Dengan Peningkatan Kepuasan Pasien, Kepatuhan Pasien Berobat dan Loyalitas Pasien di Rumah Sakit Febrini Damayanti; Ascobat Gani
Syntax Idea 1085-1100
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/syntax-idea.v6i3.3038

Abstract

Telemedicine has been proven to help a lot in health services. Telemedicine can also be a solution to the problem of difficulties in accessing health, limited human resources and making health costs more efficient. Previous research stated that the use of telemedicine plays a very important role in increasing patient satisfaction, patient adherence in treatment and patient loyalty. Unfortunately research on telemedicine in Indonesia is still very limited. This study aims to correlate the use of telemedicine with patient satisfaction, patient adherence and patient loyalty. The research method is a systematic literature review using prisms and data obtained online via Google Scholar, and PubMed. The results of the study prove that the use of telemedicine can increase patient satisfaction, patient adherence and patient loyalty.
POLICY CONSIDERATIONS FOR THE UTILIZATION AND RATIONALIZATION OF PPE IN MATERNAL CARE DURING COVID-19 PANDEMIC – LITERATURE REVIEW Soebangil, Mas Aditya; Gani, Ascobat; Oktamianti, Puput
Journal of Indonesian Health Policy and Administration Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Policies regarding utilizing and rationalizing Personal Protective Equipment (PPE) during the COVID-19 pandemic challenge every healthcare service provider. Within the maternal health sector, it is suspected that the negative perception of patients and the lack of implementation and compliance with infection prevention and control policies disrupt the quality of care provided. This research is a narrative review highlighting all proper considerations for using and rationalizing PPE within the maternal health sector. Articles are gathered and filtered from well-known scientific publishing sites, and ten articles became the main discussion of this research. The utilization of PPE impacts all levels of maternal health service, from prenatal care to postnatal and neonatal care. Standardized PPE utilization and rationalization are needed to maintain the quality of care and reduce any negative impacts that PPE use might bring. Policies regarding the use of PPE must be well thought out to ensure that it will benefit its user without the risks of its side effects.
Hospital Ambulance Standardization in Jakarta: Narrative Review Suranta, Roy Michael; Gani, Ascobat
Journal of Indonesian Health Policy and Administration Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

Ambulance is one of the hospital infrastructures that must meet service standards, security, and occupational safety and health in hospital operations. Therefore, it is the obligation of every hospital to ensure the standard of ambulance service. In the DKI Jakarta area, every ambulance, including hospital ambulances, must meet the standards in accordance with regulations and have an ambulance operating license. Based on data until the end of 2021, there were 82 (34.9%) hospital ambulances in Jakarta that carried out the recommendation process for an ambulance operation license from a total of 235 hospital ambulances, meaning that most hospital ambulances in Jakarta did not meet service standards. DKI Jakarta Governor Regulation number 120 of 2016 concerning Ambulance Services and Hearse is a reference for hospitals in Jakarta in order to meet ambulance service standards. In conclusion, there are 3 (three) standards that must be met in standardizing hospital ambulance services in Jakarta, namely standardization of vehicle units, standardization of equipment and standardization of human resources.
Relationship of Remuneration Policy to the Performance of Specialist Doctors in the Kramat Jati Regional General Hospital in 2022 Suranta, Roy Michael; Gani, Ascobat; Bachtiar, Adang
Journal of Indonesian Health Policy and Administration Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

The number and types of hospitals in Jakarta are constantly increasing, causing competition for customers or patients. Hospitals owned by the DKI Jakarta provincial government face challenges in providing specialist doctor services with the best performance for the community, this is closely related to the rewards offered to specialist doctors. One of the regional government's efforts to improve the performance of specialist doctors is by issuing regulations on remuneration for hospitals. This research aims to determine the relationship between remuneration policy and the performance of specialist doctors at Kramat Jati Regional Hospital. The research was conducted using a case study method with a qualitative approach. The research was conducted on 11 specialist doctors using questionnaires and in-depth interviews with informants. The results of the study found that the implementation of the remuneration policy at Kramat Jati Regional Hospital increased the average income of specialist doctors by 42.9% of the income of specialist doctors before the implementation of remuneration. This study also found that the implementation of remuneration policies at Kramat Jati Regional Hospital was related to the quantity performance of specialist doctors.
Hospital Cost vs INA-CBGs Claim for Obstetrics Procedure In Soe Rural General Hospital, East Nusa Tenggara: Tarif Rumah Sakit vs Klaim INA-CBGs untuk Prosedur Obstetrik di Rumah Sakit Umum Daerah SoE, Nusa Tenggara Timur Raymond Surya; Ascobat Gani; Yudianto B. Saroyo
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 4 October 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i4.2010

Abstract

Objective: To depict the discrepancy and analyze the difference between hospital cost and INA-CBGs claim in obstetrics’ cases in SoE Rural General Hospital, Timor Tengah Selatan regent, East Nusa Tenggara. Methods: This is an observational descriptive study using medical record documents of spontaneous vaginal, assisted vaginal, and cesarean delivery cases from the period of October to December 2022. We included all completed billing documents on that period. Cases paid by fee-for-service and local government were excluded. Data analysis was conducted using IBM SPSS Statistic 23.0 Results: From the total of 323 delivery cases recorded in SoE Rural General Hospital, only 245 cases were included. Most subjects were patients aged around 30 years old, referred from primary healthcare facility in the district, were in term pregnancy, and in 3rd class inpatient rooms. The median of length of stay (LOS) in vaginal delivery (spontaneous and assisted) and cesarean delivery were 2 days and 3 days, respectively. Mean difference between hospital cost to INA-CBGs claim was 67% to 158% for either vaginal or cesarean delivery based on class inpatient room. We found that hospital cost was always higher than claim cost based on INA-CBGs claim. Conclusion: There is a significant discrepancy between hospital cost and INA-CBGs claim (from 67% to 158%) for obstetric services in SoE Rural General Hospital. Keywords: hospital cost, INA-CBGs claim, obstetric. Abstrak Tujuan: Untuk memberikan gambaran perbedaan dan menganalisis perbedaan antara tarif RS dengan klaim INA-CBGs pada kasus obstetrik di RSUD SoE, Timor Tengah Selatan, Nusa Tenggara Timur. Metode: Studi deskriptif observasional menggunakan dokumen rekam medis dari kasus persalinan pervaginam spontan, persalinan pervaginam dengan alat, dan seksio sesarea dari Oktober hinga Desember 2022. Kami memasukkan seluruh dokumen billing yang lengkap. Dokumen biling yang dibayarkan mandiri dan oleh pemerintah lokal dieskslusi. Analisis data dengan menggunakan IBM SPSS Statistik 23.0. Hasil: Dari 323 persalinan yang terekam di RSUD SoE, hanya 245 kasus diinklusikan. Kebanyakan subjek berusia 30 tahun, dirujuk dari puskesmas, kehamilan cukup bulan, dan ruang perawatan kelas 3. Angka median dari lama rawat pervaginam (baik spontan maupun dengan alat) adalah 2 hari dan seksio sesarea 3 hari. Rerata perbedaan tarif RS dengan klaim INA-CBGs ialah 67% hingga 158% baik persalinan pervaginam maupun seksio sesarea berdasarkan ruang kelas perawatan. Kami menemukan angka tarif RS selalu lebih tinggi cukup jauh dari klaim INA-CBGs. Kesimpulan: Terdapat perbedaan antara tarif RS dan klaim INA-CBGs (antara 67 hingga 158%) untuk prosedur obstetrik di RSUD SoE. Kata kunci: tarif RS, klaim INA-CBGs, obstetrik.
FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA PENDING KLAIM RAWAT INAP Simbolon, Ferawati; Gani, Ascobat
Jurnal Keperawatan dan Kesehatan Vol 14 No 1 (2023): Jurnal Keperawatan dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v14i1.272

Abstract

Latar belakang: Dalam pelaksanaanya penggunaan BPJS Kesehatan akan dilakukan pengklaiman dilakukan setalah pasien selesai melakukan perawatan, dalam proses pengajuan klaim yang diajukan dari Rumah Sakit kepada pihak BPJS Kesehatan dengan beberapa tahapan verifikasi kelengkapan berkas baik secara administrasi kepesertaan, administrasi pelayanan maupun verfikasi pelayanan kesehatan. Tujuan: untuk mengetahui faktor-faktor yang mempengaruhi pending pada klaim BPJS pada pasien rawat inap adalah koding yang tidak sesuai, kelengkapan berkas, serta perbedaan dalam mengakan diagnosa. Metode: Dalam melakukan review jurnal penulis melakukan pencarian secara elektronik dengan mengguankan beberapa database, seperti Google Scholar, Pubmed. Keyword yang digunakan adalah Tunda/ pending, Bpjs/ JKN, rekam medis, serta dengan kriteria inklusi PICO frame work (P /Problem, Klaim bpjs I/Intervention: kelengkapan berkas, O/Outcome: penyelesaian masalah pending kleim bpjs. Setelah diseleksi PICO didapat 5 jurnal untuk review dari tahun 2020-2022. Hasil: Dari review beberapa jurnal didapatkan bahwa faktor-faktor yang mempengaruhi pending pada klaim BPJS pada pasien rawat inap adalah koding yang tidak sesuai, kelengkapan berkas, serta perbedaan dalam mengakan diagnoae. Kesimpulan: faktor-faktor yang mempengaruhi pending pada klaim BPJS pada pasien rawat inap adalah koding yang tidak sesuai, kelengkapan berkas, serta perbedaan dalam mengakan diagnose Kata Kunci: Pending., Klaim, BPJS
Analysis of Fairness Distribution of Capitation Service Between Health Centers Dayyana, Latanza Shima; Gani, Ascobat
Journal of Economics and Public Health Vol 1 No 2 (2022): Journal of Economics and Public Health: June 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jeph.v1i2.995

Abstract

This article discusses the analysis of fairness distribution of capitation services between health centers in Bogor 2019. Objective: to conduct a fairness analysis of distribution of capitation service between health centers in Bogor 2019. Method: This research is a qualitative study with a case study design. The Population of this study was all workers in 101 health centers in Bogor, the sample was selected using Purposive Random Sampling and 5 health centers were selected, that is Tajur Halang, Leuwiliang, Cirimekar, Parung Panjang and Bojong. The data in this study were obtained from in-dept interviews with 18 informants, capitation data in 2017, 2018 and data on the realization of distribution capitation services at health center based on the regulation the Minister of Health Number 21 of 2016. The data is processed by going through several stages, that is data reduction, data display dan conclusion drawing. Results: The study show that there is external injustice related to services in capitation fund of Bogor district in 2019. Conclusions: There is a need for further research related to risk adjustment based on age, gender and geography to determine the amount of capitation between health centers. This research contributes to reviewing the establishment of Civil Servants Income Allowances, so that there is no disparity between health centers.
PELAYANAN KESEHATAN PRIMER SEBAGAI GATEKEEPER DAN KEBIJAKAN DISKUSI PEER REVIEW: ANTARA KUALITAS DAN REALITAS UNTUK MENURUNKAN KASUS RUJUKAN NON SPESIALISTIK Zahrina, Zahrina; Ramadani, Royasia Viki; Hulwah, Khairun Nisa il; Nurlatifah, Siti; Andalan, Aldi; Gani, Ascobat; Kurniawaty, Golda; Setiawan, Ery
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

Almost 80% of the source of funds is spent on hospital. This situation indicates the failure of the gatekeeper function in primary health care. Performance-based capitation is implemented to ensure the cost and quality of primary care, with non-specialist referral rate as one of the particular parameters. The peer review policy is a discussion between BPJS Health, District/City Health Services, IDI, provincial and branch Team of KMKB and other relevant stakeholders to determine which diagnoses must be handled at FKTP also to accommodate and improve the capacity of FKTP to handle patients and minimize referral cases. This study aims to evaluate the implementation of peer review discussions and analyze the obstacles, challenges and potential of peer review policies to optimize the FKTP gatekeeper function. The research method is qualitative, and it involves conducting in-depth interviews, FGDs, and literature reviews. In general, the peer review policy is quite good in controlling referral cases, especially RNS (Non-Specialist Referrals). In general, the peer review policy is entirely reasonable to control referral cases, especially RNS. Evaluation of the "peer review discussion" policy on the communication aspect is the lack of socialization regarding the management of tiered referrals. Resources, especially human resources, health equipment and drugs, still need to be increased in FKTP. Payment mechanisms such as capitation are essential to adjust the risk and capacity of FKTP or incentive mechanisms—determination of PPK on FKTP, clear boundaries and medical authority for FKTP and FKRTL. As well as, the role and coordination among stakeholders need to be improved to strengthen the prerequisites for FKTP infrastructure.
INPATIENT CARE UTILIZATION AFTER JKN: A STUDY CASE IN EAST NUSA TENGGARA Rahvy, Aisyah Putri; Gani, Ascobat
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i1.2024.120-128

Abstract

Background: Healthcare utilization is a predictor of health status among the population. The issues of its accessibility and equity have been raised, particularly after the government launched JKN (Jaminan Kesehatan Nasional) Aim: This study aims to analyze the determinants of inpatient care utilization in East Nusa Tenggara. Method: We used SUSENAS 2019 dataset and carried out descriptive and econometrics analysis to covariates including age, gender, educational level, type of health insurance, employment status, and type of residence. Result: We found that all covariates analyzed were statistically significant in affecting the probability of inpatient care utilization (p-value<0.005). Different patterns of sociodemographic factors among people in East Nusa Tenggara will affect their rate of inpatient care utilization.  Conclusion: Inpatient care utilization rate is crucial to measure health accessibility and prevent any aggravated morbidity due to delayed treatment. Strategies to increase inpatient care utilization are needed to provide accessible treatment for all and increasing population health status. Keywords: East Nusa Tenggara, health utilization, hospitalization, inpatient care
IMPLEMENTATION OF PRIMARY HEALTH CARE SYSTEM IN COUNTRIES Lukito, Memo; Gani, Ascobat
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.315-324

Abstract

Background: Primary Health Care (PHC) systems are essential for delivering comprehensive and accessible health services globally, focusing on individuals’ and communities’ fundamental health and well-being. Aims: To assess PHC systems to ensure universal access, regardless of socio-economic status or location, by providing comprehensive services such as illness prevention, treatment, rehabilitation, support, and health promotion. Methods: This study utilised the PICO framework, with methods and results of this systematic review based on PRISMA guidelines. Articles were identified through an initial generic search in PubMed, ScienceDirect, and Scopus databases. Results: After the assessment, a total of 18 articles were selected. The following priorities for PHC policy implementation emerged: enhancing collaboration between public and private sectors, improving information sharing through technology and health literacy, establishing quality evaluation systems, and promoting community-based training programs. Identified challenges include workforce shortages, particularly in rural areas, and inadequate coordination between primary and secondary care. Addressing these challenges and focusing on these priorities can lead to better health outcomes and more effective PHC systems. Conclusion: The Alma-Ata Declaration of 1978 was a transformative milestone in global health. It advocated for "Health for All" through Primary Health Care (PHC). Despite initial challenges, the principles of Alma-Ata have significantly influenced PHC systems worldwide. Keywords: Country-specific health primary care, health care systems, primary healthcare